Chiron Medical Symposium 2022

Format: Online Platform
Theme: Multi-Specialties Updates 2022
Target Audience: General Practitioner / Specialists / Nurses &
Other auxiliaries and allied health practitioners

Title*

Prof.

Dr.

Mr.

Mrs.

Ms.

Miss.

First Name*

Last Name*

Position / Department / Organization*

Email*

Phone Number*

Occupation*

G.P

Specialist

Other

G.P

Specialist

Other

Address (for souvenir delivery use only)*

*Must be filled

CME

Full name in BLOCK letter (with surname first)

MCHK Reg No.

*** Please tick on your MCHK CME Administrator or CME Programme(s) you have enrolled ***

HKMA (with member no.)

HKDU (with member no.)

HKAM

Distribution of Souvenir

Souvenir will only be provided upon confirmation of your attendance, by either delivery or by self-pick up#.

Delivery
Souvenir will be delivered to the above provided address, please ensure the information provided is accurate.
Self-pick up
Causeway Bay (Chiron Medical Head Office)
Address:
25/F, Progress Commercial Building, No. 9 Irving Street, Causeway Bay, Hong Kong

# Chiron Medical reserves the right of final decision of the distribution way of souvenir. The final decision of souvenir distribution will be informed via email once confirmation.

Format: Online Platform
Theme: Multi-Specialties Updates 2022
Target Audience: General Practitioner / Specialists / Nurses &
Other auxiliaries and allied health practitioners

Title*

Prof.

Dr.

Mr.

Mrs.

Ms.

Miss.

First Name*

Last Name*

Position / Department / Organization*

Email*

Phone Number*

Occupation*

G.P

Specialist

Other

G.P

Specialist

Other

Address (for souvenir delivery use only)*

*Must be filled

CME

Full name in BLOCK letter (with surname first)

MCHK Reg No.

*** Please tick on your MCHK CME Administrator or CME Programme(s) you have enrolled ***

HKMA (with member no.)

HKDU (with member no.)

HKAM

Distribution of Souvenir

Souvenir will only be provided upon confirmation of your attendance, by either delivery or by self-pick up#.

Delivery
Souvenir will be delivered to the above provided address, please ensure the information provided is accurate.
Self-pick up
Causeway Bay (Chiron Medical Head Office)
Address:
25/F, Progress Commercial Building, No. 9 Irving Street, Causeway Bay, Hong Kong

# Chiron Medical reserves the right of final decision of the distribution way of souvenir. The final decision of souvenir distribution will be informed via email once confirmation.

CME

Distribution of Souvenir

Souvenir will only be provided upon confirmation of your attendance, by either delivery or by self-pick up#.

Delivery

Self-pick up

CME

Distribution of Souvenir

Souvenir will only be provided upon confirmation of your attendance, by either delivery or by self-pick up#.

Delivery

Self-pick up